insuremyochome.com has low cost homeowners and earthquake insurance for California property owners
 




Homeowners Insurance
Quotation Form
One Simple Form - takes only 2-3 Minutes!


Your Personal Data:
 
Your Name:
Property Address:
City:
State (Must be California)
Zip/Postal:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
Primary Insured's Occupation:
 
Primary Policyholder's Birthdate:
(REQUIRED - Some companies products
offer discounts for certain age groups.)
 
 
Dwelling Information
 
Year Home Built:
Home Square footage:
 
Number of units: 1 family Duplex
 
Number of stories: One 1.5
Two Three
 
Type foundation: Basement
Slab
Crawlspace over slab
Other (list in remarks)
(If basement, what % is finished?)
% FINISHED
 
Type Construction: Frame
Brick/Veneer
Stone
Other (list in remarks)
 
Type Roof: Shingle
Wood Shake
Tar/Gravel
Spanish Tile
Metal Other
 
Do you own animals or pets? Yes No
If yes, list type/for dogs, list breed:
 
Are You Near Brush Area? Yes No
 
Does Home Have a Garage? Yes No
Tell whether built in, detached/attached, and how many cars?
 
Currently Insured? Yes No
Name of Carrier & how long insured?
 
Prior Claims? Yes No
Describe claims in detail:
 

# Bedrooms: # Bathrooms:
 
# Fireplaces: # Chimneys:
 
Jewelry Value (if any)$
Silverware Value (if any)$
Fine Arts/Collectibles (if any)$
 
Coverages:
 
Dwelling Cov. $ Contents $
Liability Cov. $ Deductible $
($250, $500, $1,000, etc.)
 
Comments/Remarks
(describe any scheduled jewelry, in-home business, oil tank location, or other special coverages/remarks here):
 
Send my quotation via: E-Mail Fax
Regular Mail
Call Me By Phone

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CA home insurance pricing from Insurance Partners
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CA earthquake insurance quotes from Insurance Partners Inc
Earthquake is NOT Covered On Your Homeowners Insurance! Get the Facts:

  • Earthquake is NOT Covered on your Homeowners Insurance! You need supplemental coverage.
  • Let us Shop Your Homeowners & Earthquake Coverage through multiple companies for the most competitive rates - we do it for you!
  • We can shop, present rate comparisons, and place coverage SAME DAY in many cases!
    Click here for a fast California Earthquake insurance quote now

  • California Homeowners Insurance Quote  |  California Earthquake Insurance Quote

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